Individual provider Active NPI

Mirna Jadan, MD

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1396368643
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301509024 Issued in MI
Practice address
2370 E Stadium Blvd # 2049
Ann Arbor, MI 48104-4811
Phone
(650) 503-9990
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301509024 MI Primary

Addresses

Primary practice location

2370 E Stadium Blvd # 2049
Ann Arbor, MI 48104-4811

Mailing address

1440 N Edgewood St FL 4
Arlington, VA 22201-7037
Phone (202) 335-0428

Other practice location 1

1440 N Edgewood St Fl 4
Arlington, VA 22201-7037
Phone (202) 335-0428

Other practice location 2

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Phone (248) 890-8940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, IN, FL, OR, WA, MN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20230530000408 MI Practitioner - Family Practice 5294157137 Reassigns benefits to 3 organizations
I20250214000829 WI Practitioner - Family Practice 5294157137 Reassigns benefits to 1 organization
I20250829000742 IN Practitioner - Family Practice 5294157137 Reassigns benefits to 1 organization
I20250912001023 FL Practitioner - Family Practice 5294157137 Reassigns benefits to 1 organization
I20251031002974 OR Practitioner - Family Practice 5294157137 Reassigns benefits to 1 organization
I20251031003968 WA Practitioner - Family Practice 5294157137
I20260317001997 MN Practitioner - Family Practice 5294157137

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oakland Univ, William Beaumont School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17855 Dallas Pkwy
Suite 200
Dallas, TX 75287-6818

515 E 11 Mile Rd
Madison Heights, MI 48071-3701

6400 Shafer CT
Suite 300
Rosemont, IL 60018-4994

Hospital & facility affiliations

  • Accentcare Fairview Hospice - West, LLC Hospice, Saint Paul, MN, CCN 241514
  • Seasons Hospice & Palliative Care of Michigan Hospice, Madison Heights, MI, CCN 231601
  • Accentcare Hospice & Palliative Care of Broward County Hospice, Plantation, FL, CCN 101555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Jul 6, 2023 Accepting new patients
Vpa PC Family Medicine CurrentSince Jul 6, 2023 Accepting new patients
Seasons Hospice & Palliative Care of Oregon, LLC Family Medicine CurrentSince Sep 17, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Wisconsin, LLC Family Medicine CurrentSince Dec 7, 2025 Accepting new patients
Accentcare Medical Group of Minnesota, PC CurrentSince Mar 5, 2026 Accepting new patients
Brian T. Gietzen, M. D., P. C. CurrentSince Aug 18, 2023 Accepting new patients
Seasons Medical Group of Michigan, PC CurrentSince May 24, 2025 Accepting new patients
The Purerx Dba Promaids LLC CurrentSince Jun 23, 2025 Accepting new patients
Seasons Medical Group of Oregon PC CurrentSince Sep 17, 2025 Accepting new patients
Accentcare Medical Group of Wisconsin, S.C. CurrentSince Mar 1, 2025 Accepting new patients
Seasons Medical Group of Florida PA Family Medicine CurrentSince Sep 4, 2025 Accepting new patients
Seasons Medical Group of Indiana, PC CurrentSince Jun 24, 2025 Accepting new patients
Accentcare Medical Group of Washington, PC CurrentSince Sep 17, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Indiana, LLC Family Medicine PastSince Feb 4, 2024 Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC Family Medicine Past Accepting new patients
Seasons Hospice & Palliative Care of Pasco County, LLC Family Medicine PastSince Nov 15, 2020 Accepting new patients
Seasons Hospice & Palliative Care of Tampa, LLC Family Medicine Past Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630

2644 Cypress Ridge Blvd
Ste 104
Wesley Chapel, FL 33544
Phone (813) 364-0311

6640 Intech Blvd
Ste 270
Indianapolis, IN 46278
Phone (317) 885-4200

27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698

1460 Walton Blvd
Ste 200
Rochester Hills, MI 48309
Phone (248) 650-1800

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

767 Eustis St
Ste 150
Saint Paul, MN 55114
Phone (612) 721-2491

6500 S Macadam Ave
Ste 160
Portland, OR 97239
Phone (503) 265-6600

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

15 S Grady Way
Ste 433
Renton, WA 98057
Phone (425) 214-7027

6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310

6737 W Washington St
West Allis, WI 53214
Phone (414) 246-2357

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1396368643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N EDGEWOOD ST FL 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222017037",
            "telephone_number": "202-335-0428",
            "fax_number": "202-985-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E STADIUM BLVD # 2049",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044811",
            "telephone_number": "650-503-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 N Edgewood St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222017037",
            "country_code": "US",
            "telephone_number": "202-335-0428",
            "fax_number": "202-985-6906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17855 Dallas Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876857",
            "country_code": "US",
            "telephone_number": "248-890-8940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JADAN",
        "first_name": "MIRNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301509024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.